The bill establishes a new chapter in Title 5 of the General Laws for the certification and regulation of Certified Surgical First Assistants (CSFAs). It defines the role of CSFAs, the concept of "surgical assisting," and what constitutes a "surgical facility," and mandates that only licensed individuals can be employed as CSFAs, with certain exceptions. The bill also calls for the creation of a board of licensure, composed of seven members, to oversee the certification process, administer the chapter's provisions, evaluate applicants, supervise examinations, recommend disciplinary hearings, and investigate violations. The board will have the power to adopt, amend, or repeal regulations as necessary and will hold at least one regular meeting annually.

The bill sets forth the requirements for CSFA licensure, including holding a credential from a recognized surgical assistant organization, completing a military training program, or having relevant experience. Applicants must be at least 18 years old, of good moral character, and meet educational and professional criteria. It requires 38 hours of continuing education for license renewal and permits the board to perform random audits for compliance. The bill also details the board's responsibilities in registration, advising on license actions, approving education programs, and making disciplinary recommendations. It includes provisions for handling unprofessional conduct and maintaining a confidential file on malpractice and disciplinary actions against CSFAs. The bill is scheduled to take effect on July 1, 2025.